<div id="page-wrapper">
    <div class="panel panel-default">
        <div class="container-fluid">

            <div style="padding-top: 10px;" class="form-group col-lg-12">
                <div class="form-group col-lg-3">
                    <label>Codigo </label>
                </div>
                <div class="form-group col-lg-8">
                    <input id="reqcodigo" name="reqcodigo" type="text" class="form-control"/>
                </div>
            </div>
            <div class="form-group col-lg-12">
                <div class="form-group col-lg-3">
                    <label>Razon Social </label>
                </div>
                <div class="form-group col-lg-8">
                    <input id="reqrazonsocial" name="reqrazonsocial" type="text" class="form-control"/>
                </div>
            </div>
            <div class="form-group col-lg-12">
                <div class="form-group col-lg-3">
                    <label>RUC </label>
                </div>
                <div class="form-group col-lg-8">
                    <input id="reqruc" name="reqruc" type="text" class="form-control"/>
                </div>
            </div>
            <div class="form-group col-lg-12">
                <div class="form-group col-lg-2">
                    <label>Fecha Requerimiento</label>
                </div>
                <div class="form-group col-lg-1">
                    <label>De: </label>
                </div>
                <div class="form-group col-lg-4">
                    <input id="reqfechadesde" name="reqfechadesde" type="date" class="form-control"/>
                    <p class="help-block">Formato(dd/mm/yyyy)</p>
                </div>
                <div class="form-group col-lg-1">
                    <label>A: </label>
                </div>
                <div class="form-group col-lg-4">
                    <input id="reqfechahasta" name="reqfechahasta" type="date" class="form-control"/>
                    <p class="help-block">Formato(dd/mm/yyyy)</p>
                </div>
            </div>
            <div class="form-group col-lg-12">
                <div class="form-group col-lg-10">
                    <button id="btnReqBuscar" type="button">Buscar</button>
                    <button id="btnReqCancelar" type="button">Cancelar</button>
                </div>
            </div>

            <div class="form-group col-lg-12">
                <div id="entregaTableContenedor">
                    <table class="table table-bordered table-hover" cellpadding="0" cellspacing="0" border="0" class="display" id="listarRequerimientoTable">
                        <thead>
                            <tr>
                                <th width="10%">Codigo</th>
                                <th width="30%">Razon Social</th>
                                <th width="15%">Destino</th>
                                <th width="15%">Fecha Requerimiento</th>
                                <th width="15%">Fecha Esperada</th>
                                <th width="15%">Asociar</th>
                            </tr>
                        </thead>
                    </table>
                </div>

            </div>
        </div>
        <!-- /.container-fluid -->
    </div>
</div>